Job Description
Senior Workers’ Compensation Claims Adjuster
Job Summary
Seeking a highly skilled Senior Workers’ Compensation Claims Adjuster to join a team. This role involves managing workers’ compensation lost time claims, including litigated files, with a focus on jurisdictions such as Arizona, Utah, Texas, and Colorado. The ideal candidate will bring expertise in claims handling, strong customer service skills, and the ability to work collaboratively with internal and external stakeholders. This position offers the flexibility of a hybrid work schedule (onsite Tuesdays and Wednesdays) if located near one of our office locations, or the option to work 100% remotely.
Compensation Package
- Salary Range: $85,000 - $95,000 (with potential flexibility for highly qualified candidates)
- Employment Type: Full-time, Direct Hire
- Work Schedule: Hybrid (onsite Tuesdays and Wednesdays) or fully remote, depending on location
Responsibilities
- Investigate and analyze workers’ compensation claims of medium complexity/severity, including litigated files.
- Collaborate with agents, policyholders, and internal stakeholders to ensure effective claims management.
- Review and interpret commercial insurance policies to determine coverage and communicate findings.
- Develop action plans to resolve claims proactively, evaluate damages, and negotiate settlements.
- Establish and maintain accurate reserves to reflect financial exposure.
- Engage and manage external resources as needed to achieve proper claim resolutions while controlling costs.
- Work closely with legal counsel to manage litigated claims.
- Prepare and execute form filings with relevant commissions.
- Provide exceptional customer service to all stakeholders.
Qualifications/Requirements
- Bachelor’s degree or equivalent combination of education and experience.
- Minimum of 3 years of experience handling workers’ compensation indemnity claims of medium complexity/severity.
- Active Arizona adjuster certification/licensure required; experience with Utah claims handling is a plus.
- Strong knowledge of Arizona workers’ compensation claims processes and regulations.
- Experience with litigated and non-litigated claims handling.
- Proficiency in Microsoft Office Suite and familiarity with Claims Center software is preferred.
- AIC or SLA certification is a plus.
- Demonstrated ability to build positive relationships with internal and external customers.
- Strong analytical skills, attention to detail, and excellent verbal and written communication skills.
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